| NPI | 1710417365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 175090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10831800) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-03-14 |